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Artificial Intelligence

Top FWA Mistake: Buying the Wrong AI

Not all AI is created equally.  Artificial Intelligence insurance fraud solutions can vary greatly, directly impacting the accuracy of various healthcare fraud, waste, and abuse (FWA) solutions. "True” AI is defined as a system that exhibits behavior that is at least…
WhitehatAI
March 31, 2020
CentaurFraud

The problems associated with Modifier 25

FWA issues associated with modifier 25 are not new, Use of Modifier 25 guidance was published by the Office of the Inspector General (OIG) in 2005. (https://oig.hhs.gov/oei/reports/oei-07-03-00470.pdf) The report concluded of the roughly $2 billion allowed for evaluation and management…
WhitehatAI
February 28, 2020